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COVID-19 Contact Tracing Format Name: ___ First Name: ___2 Page __1_of ___ Community Stage: ___DOB: ___ (dd/mm/YYY)For CDC/CDs/EPI Use only: Case # ___ Person Under Investigation Confirmed Case (that

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How to fill out covid-19 contact trace form

01

Start by providing your personal information such as name, address, phone number, and email.

02

Answer questions regarding your recent travel history and any contact you may have had with confirmed COVID-19 cases.

03

Detail any symptoms you may have experienced and when they first appeared.

04

Sign and date the form to certify the information provided is accurate.

Who needs covid-19 contact trace form?

01

Individuals who have tested positive for COVID-19 and are required to provide information for contact tracing purposes.

02

Close contacts of confirmed COVID-19 cases who may have been exposed to the virus.

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What is covid-19 contact trace form?

The covid-19 contact trace form is a document used to track individuals potentially exposed to the virus.

Who is required to file covid-19 contact trace form?

Individuals who have tested positive for Covid-19 or have been in close contact with someone who tested positive are required to file the form.

How to fill out covid-19 contact trace form?

The form can typically be filled out online or on paper, providing information about the individual's contacts and whereabouts.

What is the purpose of covid-19 contact trace form?

The purpose of the form is to help health officials identify and inform individuals who may have been exposed to the virus.

What information must be reported on covid-19 contact trace form?

Information such as contact details, dates of exposure, and any symptoms experienced must be reported on the form.

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